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General Surgery Residency

UCLA General Surgery Residency

General Surgery Residency
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UCLA General Surgery Residency

For Current Residents

For Current Residents

For Current Residents

  • Academic Calendar
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  3. For Current Residents
  4. Departmental Forms

Departmental Forms

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UCLA Department of Surgery M&M Reporting

Please download and fill-in the Morbidity & Mortality Case Submission Forms as needed.

M & M Forms:

  • CADO Form
  • Morbidity and Mortality Event Form
  • Morbidity and Mortailty Event Forrm (Liver)
  • M&M Presentation Template (ppt)
  • M&M Stats Form

Critical Event Form:

  • Critical Event Form

GME Forms:

  • ACLS Certification
  • CPC-Direct Enrollment Information
  • Anthem Enrollment
  • Computer Access
  • Criminal Background Check
  • Delta Dental
  • Hep B Declination
  • HEPVAC Letter
  • House Staff ID Record
  • Life Insurance Enrollment
  • Live Scan
  • MMRVAC Letter
  • MS Supplemental Application
  • Occupational Health Vaccination Instructions
  • Photo ID
  • Tdap Declination
  • USMLE Policy
  • VSP Enrollment

 Prehospital Care:

  • Direct Enrollment Instructions

Global Surgery Rotation Application:

  • Global Surgery Rotation Application

CHLA Forms:

  • CHLA Application 2021-22
  • CHLA Health Screening Requirements

Harbor Forms:

  • Harbor-UCLA Application 2021-22
  • E2 Form Revised September 2021

Olive View Forms:

  • Olive View-UCLA Application 2021-22
  • E2 Form Revised September 2021

USC Burns Rotation Forms:

  • USC Application 2021-22

VA Forms:

  • VA Application 2021-22

California Hospital Forms:

  • CA Hospital Application 2021-22
  • CA Hospital Rotation Guide

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